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Waste, Fraud, & Abuse News

WALL STREET JOURNAL: Medicare Auditing Recoveries Drop

  Savings by the Medicare Recovery Audit Contractor (RAC) program continue to decline due to ongoing constraints on the program. Subscribers to the Wall Street Journal can read more here.

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EHR Intelligence: Medicare RAC recoveries down 22% due to program cuts

  Medicare’s flagship integrity program – the Recovery Audit Contractor (RAC) program – has faced numerous cuts over the past year, leading to a sharp decline in  savings by the oversight program. Read the full article from EHR Intelligence here.  

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Bloomberg BNA: Senate Report Recommends Changing RAC Payment Structure, Streamlining Contractors

  The Senate Special Committee on Aging held a round-table discussion, in conjunction with releasing a new report, about ways to improve Medicare integrity. Subscribed to Bloomberg BNA can read more here.

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Inside CMS: OMHA Mediation Pilot Puts CMS, Part B Providers Together To Resolve Appeals

  The Office of Medicare Hearings and Appeals (OMHA) has introduced an alternative method for resolving Medicare appeals cases, in an effort to alleviate a massive backlog of cases. Subscribers to Inside Health Policy can access the full article here.

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Hearing Clarifies Status of Medicare Appeals Process

  FOR IMMEDIATE RELEASE July 11, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Hearing Clarifies Status of Medicare Appeals Process Judge Griswold spotlights low rate of overturned cases related to the RAC program Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) today issued a statement regarding a hearing held by the U.S. House of Representatives Oversight […]

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RAC Program Recoveries Plummet for Third Consecutive Quarter

  FOR IMMEDIATE RELEASE July 11, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 RAC Recoveries Plummet for Third Consecutive Quarter Quarterly report reveals devastating impact of oversight ‘pause’ on the Medicare Trust Fund Washington, D.C. – The Recovery Audit Contractor (RAC) program corrected $572 million in improper Medicare payments in the third quarter of fiscal […]

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Senate Roundtable and Report Examine Ways to Improve Medicare Integrity

  FOR IMMEDIATE RELEASE July 9, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Senate Roundtable and Report Examine Ways to Improve Medicare Integrity Discussion clarifies misconceptions about the Recovery Audit Contractor (RAC) program Washington, D.C. – The Senate Special Committee on Aging today held a roundtable discussion about Medicare auditing, including the Recovery Audit Contractor (RAC) program, used […]

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Facts About RAC Program Oversight

On July 9, the U.S. Senate Special Committee on Aging will hold a roundtable discussion about the Recovery Audit Contractor (RAC) program and Medicare oversight. Medicare uses four types of integrity contractors to conduct program oversight: Medicare Administrative Contractors (MACs) to process claims & educate providers Recovery Audit Contractors (RACs) to review claims & recover wasted funds […]

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CCAGW Urges Senators to Get the Facts About RACs

    Taxpayer advocacy and government watchdog group Citizens Against Government Waste (CAGW) today sent the following letter to members of the U.S. Senate Special Committee on Aging to clarify key facts about the Recovery Audit Contractor (RAC) program, used to combat waste in Medicare. July 8, 2014 U.S. Senate Special Committee on Aging Washington, […]

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Congress to Hold Hearing on Medicare Appeals

  FOR IMMEDIATE RELEASE July 7, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Congress to Hold Medicare Appeals Hearing Lawmakers to examine ongoing delays in the Medicare appeals process Washington, D.C. – The U.S. House Oversight and Government Reform Subcommittee on Energy Policy, Health Care and Entitlements will hold a hearing this Thursday July 10, 2014, at 2 p.m., […]

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